Priority setting using multiple criteria: should a lung health programme be implemented in Nepal?

Health Policy Plan. 2007 May;22(3):178-85. doi: 10.1093/heapol/czm010. Epub 2007 Apr 5.

Abstract

Objectives: To identify and weigh the various criteria for priority setting, and to assess whether a recently evaluated lung health programme in Nepal should be considered a priority in that country.

Methods: Through a discrete choice experiment with 66 respondents in Nepal, the relative importance of several criteria for priority setting was determined. Subsequently, a set of interventions, including the lung health programme, was rank ordered on the basis of their overall performance on those criteria.

Results: Priority interventions are those that target severe diseases, many beneficiaries and people of middle-age, have large individual health benefits, lead to poverty reduction and are very cost-effective. Certain interventions in tuberculosis control rank highest. The lung health programme ranks 13th out of 34 interventions.

Conclusion: This explorative analysis suggests that the lung health programme is among the priorities in Nepal when taking into account a range of relevant criteria for priority setting. The multi-criteria approach can be an important step forward to rational priority setting in developing countries.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Decision Making*
  • Decision Support Techniques*
  • Female
  • Health Priorities / organization & administration*
  • Humans
  • Infant
  • Lung Diseases / prevention & control*
  • Male
  • Middle Aged
  • Nepal